Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures

• Published in: Gastrointestinal endoscopy Vol. 85; no. 1; pp. 101 - 108
• Main Authors: Vargo, John J., Niklewski, Paul J., Williams, J. Lucas, Martin, James F., Faigel, Douglas O.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2017
• Subjects: Adult; Aged; Anesthesiology - statistics & numerical data; Colonoscopy - statistics & numerical data; Conscious Sedation - adverse effects; Endoscopy, Gastrointestinal - statistics & numerical data; Female; Gastroenterology and Hepatology; Health Status; Humans; Hypnotics and Sedatives - administration & dosage; Hypnotics and Sedatives - adverse effects; Male; Middle Aged; Patient Safety; Retrospective Studies; Risk Factors; ADS; OR; EDS; SAE; CORI; NED; ASA; Clinical Outcomes Research Initiative; American Society of Anesthesiologists; odds ratio; serious adverse event; endoscopist-directed sedation; National Endoscopic Database; anesthesia-directed sedation

Sedation for GI endoscopy directed by anesthesia professionals (ADS) is used with the intention of improving throughput and patient satisfaction. However, data on its safety are sparse because of the lack of adequately powered, randomized controlled trials comparing it with endoscopist-directed seda...